Patient Information

Every product sold or rented by Kinex Medical Company carries a manufacturer’s warranty. This warranty varies by product and vendor and more detail for each product can be found in the instruction manual. Kinex Medical Company will repair or replace, free of charge, all equipment that is under warranty. Due to the medical nature of this product if we have received payment from your insurance, we cannot accept returns once the product has been opened. Purchase returns may be returned in unopened packages within three (3) days from the original date of invoice with proof of purchase. Due to health department regulations, no merchandise may be accepted for return if worn next to the skin or it is disposable (electrodes). Special order items are only returnable if there is a manufacturer defect with the product and the patient may be charged a restocking fee.

As part of our on-going process to improve our service, we have provided a patient satisfaction survey for you to complete. For service concerns, grievances or complaints, please contact your Local Kinex Representative, Kinex Corporate Office at (800) 845-6364, or Kinex’ accreditation organization: CHAP (Community Health Accreditation
Program) at (202) 862-3413.

Your local Kinex Representative assists in determining a suitable location for the equipment that promotes ease of use and safety. You will be informed of any hazards and suggested corrective measures, as appropriate. Your local representative will be looking for the following: safe operating equipment, cords and adaptors not a tripping hazard, safe electrical outlet, and your ability to get in and out of the device.

Your equipment does not require any maintenance. Hand washing and wiping your equipment will help control infection. If necessary, unplug the device and wipe down with a disinfecting wipe. For more information regarding infection control, please visit www.cdc.gov.

Florida Patient Emergency Plan and Resources Handout - download

59A-25.006 Emergency Management Planning.
(1) Pursuant to Section 400.934(20)(a), F.S., each home medical equipment provider must prepare and maintain a written comprehensive emergency management plan, that meets the minimum criteria in these rules and the Comprehensive Emergency Management Plan (CEMP) Format for Home Medical Equipment (HME) Providers, AHCA Form 3110-1019, December 2006, incorporated by reference. This document is available from the Agency for Health Care Administration at http://ahca.myflorida.com under Licensing & Certification, Home Medical Equipment Provider. The CEMP Format contains the minimum criteria that must be included in each home medical equipment provider emergency management plan, as required in Section 400.934(20), F.S. The plan must describe how the home medical equipment provider establishes and maintains an effective response to emergencies and disasters. The completed plan will be e-mailed or mailed to the local county health department for each county listed on the home medical equipment provider’s license as required in Section 400.934(20)(b), F.S., unless the county health department does not require submission of home medical equipment provider emergency management plans per Section 381.0303(7), F.S.

Patient Rights:

1. The patient has the right to considerate and respectful service.
2. The patient has the right to obtain service without regard to race, creed, national origin, primary language, sex, age, disability, diagnosis or religious affiliation.
3. Kinex provides qualified interpreters should the patient request these services.
4. Subject to applicable law, the patient has the right to the confidentiality of all information pertaining to his/her medical equipment service. Individuals or organizations not involved in the patient’s care, may not have access to the information without the patient’s written consent.
5. The patient has the right to make informed decisions about his/her care.
6. The patient has the right to reasonable continuity of care and service.
7. The patient has the right to voice grievances without fear of termination of service or other reprisal in the service process.

Patient Responsibilities:

1. The patient should promptly notify Kinex Medical Company of any equipment failure or damage.
2. The patient is responsible for any equipment that is lost or stolen while in their possession and should promptly notify Kinex Medical Company in such instances.
3. The patient should promptly notify Kinex Medical Company of any changes to their address or telephone.
4. The patient should promptly notify Kinex Medical Company of any changes concerning their physician.
5. The patient should notify Kinex Medical Company of discontinuance of use.
6. Except where contrary to federal or state law, the patient is responsible for any equipment rental and sale charges which the patient’s insurance company/companies do not pay.
7. Should your insurance pay you directly for services rendered by Kinex, it is your responsibility to forward the Explanation of Benefits and the insurance check to us promptly.

The products and/or services provided to you by Kinex Medical Company are subject to the supplier standards contained in the Federal regulations shown at 42 Code of Federal Regulations Section 424.57(c). These standards concern business professional and operational matters (e.g., honoring warranties and hours of operation). The full text of these standards can be obtained at http://ecfr.gpoaccess.gov. Upon request, we will furnish you with a written copy of the standards.

You can review our HIPAA Notice of Privacy Practices here.

The purpose of the consent form is to inform you, the patient, how your personal health information is used and/or disclosed by this provider or organization. We want you to be fully aware of what we do with your information so that you can provide us with your consent in order for us to treat your health care needs, receive payment for services rendered, and allow administrative and other types of health care operations to happen, which are part of normal business activities of the provider or organization. Your consent I understand that as part of my health care, this organization originates and maintains health records describing my health history, symptoms, test results, diagnoses, treatment, and plans for future care or treatment. I understand that this information serves as:

• A basis for planning my care and treatment.
• A means of communication among my diagnosis/es and other health information to my bill(s).
• A source of information for applying my diagnosis/es and other health information to my bill(s).
• A means by which my health plan or health insurance company can verify that services billed were actually provided.
• A tool for routine health care operations in this organization, such as ensuring that we have quality processes and programs in place and making sure that the professionals who provide your care and competent to do so.

I understand that:

• I have been provided with a Notice of Information Practices that provides specific examples and descriptions of how my personal health information is used and discloses by Kinex Medical Company, LLC;
• I have the right to review the Notice of Information Practices prior to signing this consent;
• Kinex Medical Company, LLC can change its Notice of Information Practices but notify me of those changes before they are put into practice and will mail me a copy of the new Notice to the address that I have provided;
• I have the right to request restrictions as to how my health information may be used or disclosed to carry out treatment, payment or health care operations and that Kinex Medical Company, LLC is not required to agree to those restrictions;
• Any restrictions to which Kinex Medical Company, LLC agrees to will be respected.
• I may revoke this consent in writing at any time. Further, I am aware that Kinex Medical Company, LLC can proceed with uses and disclosures that pertain to treatment, payment, or healthcare issues that took place before the consent was revoked.

To request a restriction on the use and disclose of your personal health information related to your treatment, payment for service, or for the health care operations of Kinex Medical Company, LLC please do so after reading the Notification of Information Practices. Please refer to section E, number 2 in “Notice of Privacy Practices” regarding requesting restrictions.

Capped Rental Items:

• Medicare will pay a monthly rental fee for a period not to exceed 13 months, after which ownership of the equipment is transferred to the Medicare beneficiary.
• After ownership of the equipment is transferred to the Medicare beneficiary, it is the beneficiary’s responsibility to arrange for any required equipment service or repair.
• Examples of this type of equipment include: hospital beds, wheelchairs, alternating pressure pads, air-fluidized beds, nebulizers, suction pumps, continuous airway pressure (CPAP) devices, patient lifts, and trapeze bars.

Inexpensive or Routinely Purchased Items:

• Equipment in this category can be purchased or rented; however, the total amount paid for monthly rentals cannot exceed the fee schedule purchase amount.
• Examples of this type of equipment include: canes, walkers, crutches, commode chairs, low pressure, and positioning equalization pads, home blood glucose monitors, seat lift mechanisms, pneumatic compressors (lymphedema pumps), bedside rails, and traction equipment.

You can review our Terms of Use here.

You can review our Payment Authorization Policy here.